What do you think the future of CM will be?

Specialties Case Management

Published

Do you think that due to the approaching insurance changes that case management and utilization review will be in more demand?

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.
Do you think that due to the approaching insurance changes that case management and utilization review will be in more demand?

Yes, in fact the demand for CMs has increased significantly since 2011 in my area due to the anticipated changes in health care. Now that the changes will be implemented due to the fact that the Affordable Care Act is law and thus cannot be de-funded despite any political posturing by various politicians, the demand for CMs will continue to increase. You have come to a good nursing specialty. Welcome!

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Sounds like homework, but the short answer is: You bet your boots. Care coordination, cost research, collaboration to decrease waste and duplication...all will make for increasing demand for people who know how to do that efficiently and WELL. Great gig, and nice work if you can get it. Smart money is on preparing for it now and getting in early.

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Specializes in Critical Care, Education.

Recently I have come across a Case Management sub-specialty called "Transition Nursing" that has been shown to have a huge positive impact on patient management across the continuum... very key component in ACOs. These nurses are responsible for ensuring a smooth transition between levels of care. Here's some info Social Programs That Work

Transitional Care nurses not only work with the patient & family to manage the logistics of effective discharge planning, but also make follow up home care visits as need & may even be responsible for getting the patient to their initial post-discharge physician appointment. Their focus is entirely on clinical care - not like the traditional case manager jobs that are heavily involved in reimbursement & cost containment.

This role is a good fit for nurses who are very experienced in many different aspects of health care delivery. The perfect role for a veteran nurse who no longer wants to work 12 hour shifts at the bedside, right? Now we have another career option besides WalMart greeter - LOL.

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Thanks everyone for the helpful information and the positive outlook on case management. No this is not a home work assignment. I'm not in school presently. Just interested in what my future career opportunities may be. Thanks again everyone! :)

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